Template

A32 Medical Report Template

by Chief Officer, from the Community

Use this A32 Medical Report template to document patient information and clinical assessments in a structured way. Capture personal details, mechanism of injury or illness, suspected symptoms, and vital signs including respiration, pulse, oxygen saturation, blood pressure, pupil size, blood sugar, and temperature. Record AVPU responsiveness, allergies, medications, past history, last oral intake, and events. Log treatment provided, evacuation needs, and maintain a daily patient timeline for ongoing care.

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Medical Observation Template
Use this medical observation template to support emergency and clinical care. Capture safety checks, vital signs, AVPU, oxygen saturation, pulse, blood pressure, temperature, blood glucose, pain scores, and notes. Document SAMPLE history, Glasgow Coma Scale, and a concise drugs formulary for common presentations such as anaphylaxis, asthma, chest pain, seizure, and hypoglycaemia. Record drugs administered, treatments provided, and clear handover details to ensure continuity of care.
by malcolm whyte, from the Community
Downloads: 0
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Template
Injury Report Template
Use this Injury Report template to capture critical information after an incident, including patient demographics, medical history, AVPU consciousness level, pulse, breathing and skin observations, assessment notes, treatment provided, and follow-up referrals (ambulance, medical centre, own doctor). Designed for workplace first aid and safety recordkeeping.
by Darryl Bancale, from the Community
Downloads: 10+
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Template
Electronic Medical Record Documentation Audit
This Electronic Medical Record Documentation Audit template helps hospitals and clinics review the completeness and quality of clinical documentation across key areas of care. It covers consent validation, fall and pressure injury risk screening, pain assessment, social work and nutrition screening, patient and family education, timely medication administration, structured ISBAR handovers, nursing assessment and care planning, blood and blood product administration, discharge planning, and management of patient belongings. Use it to standardize audits, identify gaps, and strengthen compliance, documentation accuracy, and patient safety.
by Marnelli Ignacio, from the Community
Downloads: 30+
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Template
Nursing Report Sheet
This Nurse Report Sheet can be used by nursing staff during ward or room visits. Start by entering the patient's general information. Next, record diagnosis and the medical history. It is also important to take note any allergy and special conditions. The template then prompts the user to record vital signs of the patient such as blood pressure, heart rate, temperature, and blood sugar. Med passes should also be recorded to ensure that medicines are dispensed accordingly. Document the patient's food intake during breakfast, lunch, or supper. Lastly, write down any future procedure needed to inform the next nurses-on duty. Complete the report by providing a digital signature. Use SafetyCulture to perform digital patient checks with the use of your handheld device. You may also customize this template based on your needs.
by SafetyCulture
Downloads: 100+
Get

Medical Observation Template

Use this medical observation template to support emergency and clinical care. Capture safety checks, vital signs, AVPU, oxygen saturation, pulse, blood pressure, temperature, blood glucose, pain scores, and notes. Document SAMPLE history, Glasgow Coma Scale, and a concise drugs formulary for common presentations such as anaphylaxis, asthma, chest pain, seizure, and hypoglycaemia. Record drugs administered, treatments provided, and clear handover details to ensure continuity of care.

by malcolm whyte, from the Community

Get

Template

Injury Report Template

Use this Injury Report template to capture critical information after an incident, including patient demographics, medical history, AVPU consciousness level, pulse, breathing and skin observations, assessment notes, treatment provided, and follow-up referrals (ambulance, medical centre, own doctor). Designed for workplace first aid and safety recordkeeping.

by Darryl Bancale, from the Community

10+

Get

Template

Electronic Medical Record Documentation Audit

This Electronic Medical Record Documentation Audit template helps hospitals and clinics review the completeness and quality of clinical documentation across key areas of care. It covers consent validation, fall and pressure injury risk screening, pain assessment, social work and nutrition screening, patient and family education, timely medication administration, structured ISBAR handovers, nursing assessment and care planning, blood and blood product administration, discharge planning, and management of patient belongings. Use it to standardize audits, identify gaps, and strengthen compliance, documentation accuracy, and patient safety.

by Marnelli Ignacio, from the Community

30+

Get

Template

Nursing Report Sheet

This Nurse Report Sheet can be used by nursing staff during ward or room visits. Start by entering the patient's general information. Next, record diagnosis and the medical history. It is also important to take note any allergy and special conditions. The template then prompts the user to record vital signs of the patient such as blood pressure, heart rate, temperature, and blood sugar. Med passes should also be recorded to ensure that medicines are dispensed accordingly. Document the patient's food intake during breakfast, lunch, or supper. Lastly, write down any future procedure needed to inform the next nurses-on duty. Complete the report by providing a digital signature. Use SafetyCulture to perform digital patient checks with the use of your handheld device. You may also customize this template based on your needs.

by SafetyCulture

100+

Get

A32 Medical Report Template

About author

You might also like

Medical Observation Template

Injury Report Template

Electronic Medical Record Documentation Audit

Nursing Report Sheet

You might also like

Medical Observation Template

Injury Report Template

Electronic Medical Record Documentation Audit

Nursing Report Sheet